Report #2836007

Received Apr 14, 2025

ER / ED visit

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 72 yrs
State: MN
Recovered: Unknown
Vaccinated: Oct 26, 2023
Onset: Apr 10, 2025
Days to onset: 532
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	032M20A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	027B21A	IM / LA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	3	FL3209	IM / RA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	4	GH9697	IM / LA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	5	HF9300	IM / LA

Symptoms (6)

CoughDecreased appetiteDiarrhoeaNasal congestionUpper respiratory tract congestionViral test

Symptom narrative

Upper respiratory congestion, nasal congestion, cough, loose stools, loss of appetite

Current illness

Unknown

Medical history

Coronary atherosclerosis of native coronary artery, hyperlipemia, hypertension, DM, OSA, CHF, esophageal reflux, paroxysmal atrial fibrillation, TIA, schizoaffective disorder

Other medications

Famotidine, multivitamin, albuterol, aspirin, atorvastatin, citalopram, isosorbide mononitrate, losartan, nitro, omega 3 fatty acids, empagliflozin, levetiracetam, excedrin, metoprolol succinate, tylenol, motrin, amlodipine, novolog, lantus

Allergies

Morphine, mushrooms, apple, asparagus, carbamazepine, gabapentin enacarbil, metformin, spinach, sulfadiazine, tamsulosin

Lab data

IDNOW